scholarly journals Robotic Surgery for the Thoracic and Vascular Surgeon

2021 ◽  
Author(s):  
Lawek Berzenji ◽  
Krishan Yogeswaran ◽  
Patrick Lauwers ◽  
Paul Van Schil ◽  
Jeroen M.H. Hendriks
Keyword(s):  
Robotic Surgery ◽  
Great Majority ◽  
Minimal Invasive ◽  
Vascular Surgeon ◽  
Robotic Assisted ◽  
Hand Eye Coordination ◽  
Arcuate Ligament ◽  
Mediastinal Tumours ◽  
The Cost ◽  
Proven Benefit

In the last two decades, robotic-assisted approaches have gained popularity as alternatives to conventional open and minimal-invasive surgery (MIS). The robotic approach combines the concepts of the traditional MIS with the latest technological advancements, enabling the surgeon to control the instrumentation using a robotic device connected to a remote console. With this approach, the surgeon obviates the known drawbacks of conventional MIS, such as the reduced in-depth perception and hand-eye coordination. Since its introduction, numerous robotic-assisted procedures have been developed and tested across nearly all surgical fields. Data from previous studies have shown that a great majority of these techniques are feasible and have favourable treatment outcomes. In the field of thoracic and vascular surgery, two disciplines often combined in Belgium, robotic approaches have been implemented in the treatment of a wide array of disorders including lung cancer, mediastinal tumours, thoracic outlet syndrome, diaphragmatic paralysis, sympathectomy, aortobifemoral bypass surgery and division of the arcuate ligament for median arcuate ligament syndrome (MALS). Despite this increasing popularity, there are still a number of controversies regarding robotic surgery. There are only limited data on the cost-effectiveness of robotic surgery and its objective proven benefit over conventional MIS. In this review, we summarise the latest data on robotic approaches for the most relevant thoracic and vascular disorders.

scholarly journals Two-Arm Robotic-Assisted High Anterior Resection: a Cost-Effective Way to Perform Robotic Surgery

2021 ◽  
Author(s):  
Vivek Sharma ◽  
Thusitha Hettiarachchi ◽  
Dhiraj Sharma ◽  
Irshad Shaikh
Keyword(s):  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Colorectal Surgery ◽  
Anterior Resection ◽  
Cost Effective ◽  
Robotic Assisted ◽  
Novel Method ◽  
Standard Laparoscopic Surgery ◽  
The Cost ◽  
Disposable Equipment

AbstractIn the era where laparoscopic colorectal surgery is well established, robotic- assisted colorectal surgery is gaining increasing popularity and acceptability. Stable camera platform, superior 3D views, and articulating instruments help to overcome difficulties associated with standard laparoscopic surgery. However, a significant drawback of robotic surgery is the cost of the robotic system and relevant disposable equipment compared to conventional laparoscopic surgery. This image series depicts a novel method to perform laparoscopic high anterior resection in a more cost-effective way.

Use, Cost, Complications, and Mortality of Robotic versus Nonrobotic General Surgery Procedures Based on a Nationwide Database

2013 ◽  
Vol 79 (6) ◽  
pp. 553-560 ◽  
Author(s):  
Muhammad Salman ◽  
Theodore Bell ◽  
Jennifer Martin ◽  
Kalpesh Bhuva ◽  
Rod Grim ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Length Of Stay ◽  
General Surgery ◽  
New Technology ◽  
Cost Effective ◽  
Robotic Assisted ◽  
Setup Costs ◽  
Lengths Of Stay ◽  
Surgeon Training ◽  
The Cost

Since its introduction in 1997, robotic surgery has overcome many limitations, including setup costs and surgeon training. The use of robotics in general surgery remains unknown. This study evaluates robotic-assisted procedures in general surgery by comparing characteristics with its nonrobotic (laparoscopic and open) counterparts. Weighted Healthcare Cost and Utilization Project Nationwide Inpatient Sample data (2008, 2009) were used to identify the top 12 procedures for robotic general surgery. Robotic cases were identified by Current Procedural Terminology codes 17.41 and 17.42. Procedures were grouped: esophagogastric, colorectal, adrenalectomy, lysis of adhesion, and cholecystectomy. Analyses were descriptive, t tests, χ2s, and logistic regression. Charges and length of stay were adjusted for gender, age, race, payer, hospital bed size, hospital location, hospital region, median household income, Charlson score, and procedure type. There were 1,389,235 (97.4%) nonrobotic and 37,270 (2.6%) robotic cases. Robotic cases increased from 0.8 per cent (2008) to 4.3 per cent (2009, P < 0.001). In all subgroups, robotic surgery had significantly shorter lengths of stay (4.9 days) than open surgery (6.1 days) and lower charges (median $30,540) than laparoscopic ($34,537) and open ($46,704) surgery. Fewer complications were seen in robotic-assisted colorectal, adrenalectomy and lysis of adhesion; however, robotic cholecystectomy and esophagogastric procedures had higher complications than nonrobotic surgery ( P < 0.05). Overall robotic surgery had a lower mortality rate (0.097%) than nonrobotic surgeries per 10,000 procedures (laparoscopic 0.48%, open 0.92%; P < 0.001). The cost of robotic surgery is generally considered a prohibitive factor. In the present study, when overall cost was considered, including length of stay, robotic surgery appeared to be cost-effective and as safe as nonrobotic surgery except in cholecystectomy and esophagogastric procedures. Further study is needed to fully understand the long-term implications of this new technology.

Transoral Robotic Surgery versus External Approach: Oncologic Results and Comparison of the Cost of Treatment

2013 ◽  
Vol 149 (2_suppl) ◽  
pp. P199-P200 ◽  
Author(s):  
Sylvain Moriniere ◽  
Karim Hammoudi ◽  
Patrice Beutter ◽  
Eric Pinlong
Keyword(s):  
Robotic Surgery ◽  
Transoral Robotic Surgery ◽  
External Approach ◽  
Cost Of Treatment ◽  
Oncologic Results ◽  
The Cost

scholarly journals Transient Left-Sided Paralysis following Robotic-Assisted Laparoscopic Uteropexy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Jasmina Kurdija ◽  
Jan G. Jakobsson
Keyword(s):  
Case Report ◽  
Robotic Surgery ◽  
Adverse Events ◽  
Female Patient ◽  
Severe Headache ◽  
Prolapse Surgery ◽  
Robotic Assisted ◽  
Root Cause ◽  
Pelvic Prolapse

We describe a case report of a 47-year-old ASA 2 female patient who exhibits severe headache and hemineurology during awakening following robotic pelvic prolapse surgery. The symptoms resolved spontaneously during the first postoperative day. We could not find any explicit root cause. Robotic surgery associated adverse events are discussed.

PROMOTION OF ORAL REHYDRATION THERAPY FOR DIARRHEA IN INDIA

PEDIATRICS ◽  
1978 ◽  
Vol 61 (5) ◽  
pp. 693-693
Author(s):  
Keyword(s):  
Infectious Diseases ◽  
Large Volume ◽  
Oral Fluid ◽  
Great Majority ◽  
Oral Rehydration Therapy ◽  
Research Centre ◽  
Severe Dehydration ◽  
Oral Rehydration ◽  
Paramedical Staff ◽  
The Cost

Today, the great majority of cholera patients in the Infectious Diseases Hospital in Calcutta, India, are successfully being treated by oral rehydration. This switch over to oral fluid therapy, which in this hospital now saves about $50,000 every year in the cost of parenteral fluids alone, was the outcome of a study carried out by the Cholera Research Centre of the Indian Council of Medical Research, in collaboration with physicians in the Infectious Diseases Hospital, on the effectiveness of this treatment in cholera patients below the age of 5 years. The Cholera Research Centre, which is also in Calcutta, is a WHO Collaborating Centre for Reference and Research on Vibrios. The study showed that 92% of patients with moderate to severe dehydration responded well when given repeated small amounts (25-30 ml, every 10-15 minutes), rather than a single large volume (250 ml), of oral fluid. In this way, vomiting—which occurred invariably when the large volume was given—was found not to cause any problem. The Centre in the meantime developed a cheap and simple system for dispensing the ingredients (glucose-salts mixture) for oral rehydration in sealed polythene packets to facilitate distribution. Under the name of Chorosol, the packets—which cost about $0.10 each—have been very well received by medical and paramedical staff. The use of Chorosol in the field, in the management of cholera epidemics, has also been very successful.

Strategies of ICT Use for Women's Economic Empowerment

2011 ◽  
pp. 1121-1127
Author(s):  
Sonia N. Jorge
Keyword(s):  
Information And Communication Technologies ◽  
Rural Areas ◽  
Information Dissemination ◽  
Great Majority ◽  
Communication Technologies ◽  
Economic Empowerment ◽  
Development Tools ◽  
Major Development ◽  
Information And Communication ◽  
The Cost

Information and communication technologies (ICT) provide a great development opportunity by contributing to information dissemination, providing an array of communication capabilities, and increasing access to technology and knowledge, among others. Access to and the cost of ICT continue to be a major development obstacle, particularly in the developing world. Despite the growth in mobile telephony, peri-urban2 and rural areas—home to a great majority of women and poor populations—continue to lack infrastructure and ICT services in general. For ICT to become meaningful development tools, ICT policy and programs must address the needs of women and the poor in general. This article discusses the main challenges and obstacles faced by women, suggests practical strategies to address those challenges and provides recommendations on how to proceed to improve the conditions leading to women’s economic empowerment.

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